Zusammenfassung Das alveoläre Weichteilsarkom ist ein bösartiger Tumor, dessen Entstehungsursache... more Zusammenfassung Das alveoläre Weichteilsarkom ist ein bösartiger Tumor, dessen Entstehungsursache noch nicht geklärt ist. Die mikrohistopathologischen Untersuchungen zeigen ein alveoläres oder pseudoglanduläres Bild. Gleichzeitig sind PAS-positive, diastaseresistente intrazytoplasmatische Einschlüsse für diesen Tumor charakteristisch. Dieser Tumor befällt im Bereich von Kopf und Hals überwiegend die Zunge und Teile der Orbita. Die primäre Therapie dieses Tumors ist die totale Entfernung, die dann mit Radiotherapie oder Chemotherapie kombiniert werden kann. In der vorliegenden Studie handelt es sich um eine 17-jährige Patientin. Wir haben den Tumor total entfernt und anschließend mit Radiotherapie behandelt. Die postoperativen Untersuchungen über 3 Jahre ergaben keinerlei lokalen Herd oder Fernmetastasen.
Current measurements of nasal obstruction are unreliable and may be improved with the development... more Current measurements of nasal obstruction are unreliable and may be improved with the development of new techniques. The effectiveness of odiosoft-rhino (OR) in the evaluation of nasal obstruction was investigated in a blind comparison at a referral center, institutional practice. Patients: Fortyeight patients with perennial allergic rhinitis and 52 healthy subjects were studied. Nasal endoscopic examination, acoustic rhinometry (AR), and OR were performed and symptom scores compared. Main Outcome Measure: Assessment of nasal blockage with OR method was the main outcome measure. Results: Using the OR technique, significant differences were observed between the patient and control groups. OR data correlated with symptom scores and endoscopic examination. However, this was not observed with AR. A 15.5-dB cutoff point for the left side and 14.5 dB cutoff point for the right side at the 2,000 to 4,000 Hz frequency interval resulted in 93.8% sensitivity and 92.3% specificity and 72.9% sensitivity and 80.8% specificity, respectively. A 8.5-dB cutoff point for the left and right sides at the 4,000 to 6,000 Hz frequency interval resulted in 87.5% sensitivity and 80.8% specificity and 70.8% sensitivity and 78.8% specificity, respectively. Conclusion: OR is a simple, noninvasive test for assessing nasal obstruction. The OR technique can detect nasal obstruction with high sensitivity and specificity, and these findings correlate with symptoms and physical examination.
We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, t... more We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, the timing of the initiation of treatment, the type and severity of hearing loss, and age in 72 patients who had experienced sudden hearing loss. We found that the factors associated with a positive prognosis were the absence of vertigo, the presence of tinnitus, initiation of treatment within 7 days, a greater degree of hearing loss in the low frequencies, and a hearing loss of less than 45 dB. Age had no effect on prognosis.
We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, t... more We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, the timing of the initiation of treatment, the type and severity of hearing loss, and age in 72 patients who had experienced sudden hearing loss. We found that the factors associated with a positive prognosis were the absence of vertigo, the presence of tinnitus, initiation of treatment within 7 days, a greater degree of hearing loss in the low frequencies, and a hearing loss of less than 45 dB. Age had no effect on prognosis.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2006
Aneurysmal bone cyst is a benign lesion that is more commonly seen in long bones and the vertebra... more Aneurysmal bone cyst is a benign lesion that is more commonly seen in long bones and the vertebra. Its occurrence in the craniofacial region is rare. A nine-year-old boy presented with a well-demarcated, painless, fixed mass, 3 x 3 cm in size, in the left preauricular region, with no fluctuation or crepitation. Computed tomography showed a lesion in the left mandibular ramus with a fluid-fluid level, extending to the mandibular condyle, with erosion to the adjacent cortex. Total curettage was performed via a transoral approach under general anesthesia. Histopathologic diagnosis was made as an aneurysmal bone cyst. No recurrence or complication were seen during a follow-up period of four years.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2003
Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due ... more Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due to cerebral tumors or hydrocephalus; it is seldom seen in association with empty sella syndrome. A sixty-three-year-old woman who presented with left nasal discharge was hospitalized on the suspicion of CSF rhinorrhea. Analysis of the nasal fluid revealed a clear color, a positive Pandy's test, and a positive result for glucose (72%). On magnetic resonance scans, herniation of the suprasellar cistern was observed into the sellar cavity, and the left sphenoid sinus was filled with contrast medium. The repair of the fistula was performed via a transnasal and transsphenoidal approach. The patient was followed-up for five years without any symptoms or recurrences.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2003
Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due ... more Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due to cerebral tumors or hydrocephalus; it is seldom seen in association with empty sella syndrome. A sixty-three-year-old woman who presented with left nasal discharge was hospitalized on the suspicion of CSF rhinorrhea. Analysis of the nasal fluid revealed a clear color, a positive Pandy's test, and a positive result for glucose (72%). On magnetic resonance scans, herniation of the suprasellar cistern was observed into the sellar cavity, and the left sphenoid sinus was filled with contrast medium. The repair of the fistula was performed via a transnasal and transsphenoidal approach. The patient was followed-up for five years without any symptoms or recurrences.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
We evaluated the results of orbital decompression in patients with Graves' disease. Orbital d... more We evaluated the results of orbital decompression in patients with Graves' disease. Orbital decompression was performed by endoscopic transnasal medial wall approach and transantral inferior wall approach in 18 eyes of 12 patients (8 males, 4 females; mean age 41 years; range 24 to 65 years). The degree of exophthalmos was evaluated with the use of the Hertel exophthalmometer preoperatively, and postoperatively in the 24th hour, first and third months. At the end of the third month, exophthalmos decreased by a mean of 4.4 mm (range 3 to 7 mm). Visual acuity and field defects improved considerably in all patients. Complications occurred in three cases (25%) including diplopia, displacement of one eye inferiorly, and maxillary sinusitis caused by the encroachment of the adipose tissue upon the ostium, respectively. With the increasing ease of surgical procedures and enhanced experience on the part of surgeons, successful treatment of exophthalmos has become possible with decreased...
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
We evaluated the results of orbital decompression in patients with Graves' disease. Orbital d... more We evaluated the results of orbital decompression in patients with Graves' disease. Orbital decompression was performed by endoscopic transnasal medial wall approach and transantral inferior wall approach in 18 eyes of 12 patients (8 males, 4 females; mean age 41 years; range 24 to 65 years). The degree of exophthalmos was evaluated with the use of the Hertel exophthalmometer preoperatively, and postoperatively in the 24th hour, first and third months. At the end of the third month, exophthalmos decreased by a mean of 4.4 mm (range 3 to 7 mm). Visual acuity and field defects improved considerably in all patients. Complications occurred in three cases (25%) including diplopia, displacement of one eye inferiorly, and maxillary sinusitis caused by the encroachment of the adipose tissue upon the ostium, respectively. With the increasing ease of surgical procedures and enhanced experience on the part of surgeons, successful treatment of exophthalmos has become possible with decreased...
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
We evaluated the efficacy of hyperbaric oxygen (HBO) treatment in patients with sudden hearing lo... more We evaluated the efficacy of hyperbaric oxygen (HBO) treatment in patients with sudden hearing loss unresponsive to medical treatment. Fifty-one patients (37 males, 14 females; mean age 37 years; range 9 to 63 years) with sudden hearing loss were treated with HBO following unsuccessful medical treatment. Time elapsed from the occurrence of sudden hearing loss ranged between 15 to 45 days. Treatment included two sessions daily for the first three days, followed by a single daily session, to make 20 sessions of 90 minutes. Treatment was discontinued because of early recovery in two patients. Audiometric examinations were made at the end of every five sessions. The patients were classified according to age, gender, and audiogram curves. The mean hearing thresholds were 75.3 dB and 65.6 dB before and after treatment, respectively. Recovery was rated as complete in two patients (3.9%), moderate in two patients (3.9%), mild in 19 patients (37.25%), and as no recovery in 28 patients (54.9%...
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
We evaluated the efficacy of hyperbaric oxygen (HBO) treatment in patients with sudden hearing lo... more We evaluated the efficacy of hyperbaric oxygen (HBO) treatment in patients with sudden hearing loss unresponsive to medical treatment. Fifty-one patients (37 males, 14 females; mean age 37 years; range 9 to 63 years) with sudden hearing loss were treated with HBO following unsuccessful medical treatment. Time elapsed from the occurrence of sudden hearing loss ranged between 15 to 45 days. Treatment included two sessions daily for the first three days, followed by a single daily session, to make 20 sessions of 90 minutes. Treatment was discontinued because of early recovery in two patients. Audiometric examinations were made at the end of every five sessions. The patients were classified according to age, gender, and audiogram curves. The mean hearing thresholds were 75.3 dB and 65.6 dB before and after treatment, respectively. Recovery was rated as complete in two patients (3.9%), moderate in two patients (3.9%), mild in 19 patients (37.25%), and as no recovery in 28 patients (54.9%...
Syphilis is an unusual diagnosis in an ENT practice. We evaluated a 55-year-old man who had gener... more Syphilis is an unusual diagnosis in an ENT practice. We evaluated a 55-year-old man who had generalized plaques on his face, neck, and upper extremities. Analysis of skin biopsy and serology specimens revealed that the patient had secondary syphilis. He responded rapidly to treatment. The purpose of this article is to remind otolaryngologists of the signs and symptoms of syphilis so that it can be recognized and treated in a timely fashion.
Syphilis is an unusual diagnosis in an ENT practice. We evaluated a 55-year-old man who had gener... more Syphilis is an unusual diagnosis in an ENT practice. We evaluated a 55-year-old man who had generalized plaques on his face, neck, and upper extremities. Analysis of skin biopsy and serology specimens revealed that the patient had secondary syphilis. He responded rapidly to treatment. The purpose of this article is to remind otolaryngologists of the signs and symptoms of syphilis so that it can be recognized and treated in a timely fashion.
We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, t... more We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, the timing of the initiation of treatment, the type and severity of hearing loss, and age in 72 patients who had experienced sudden hearing loss. We found that the factors associated with a positive prognosis were the absence of vertigo, the presence of tinnitus, initiation of treatment within 7 days, a greater degree of hearing loss in the low frequencies, and a hearing loss of less than 45 dB. Age had no effect on prognosis.
We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, t... more We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, the timing of the initiation of treatment, the type and severity of hearing loss, and age in 72 patients who had experienced sudden hearing loss. We found that the factors associated with a positive prognosis were the absence of vertigo, the presence of tinnitus, initiation of treatment within 7 days, a greater degree of hearing loss in the low frequencies, and a hearing loss of less than 45 dB. Age had no effect on prognosis.
Objective: Current measurements of nasal obstruction are unreliable and may be improved with the ... more Objective: Current measurements of nasal obstruction are unreliable and may be improved with the development of new techniques. The effectiveness of odiosoft-rhino (OR) in the evaluation of nasal obstruction was investigated in a blind comparison at a referral center, institutional practice. Patients: Fortyeight patients with perennial allergic rhinitis and 52 healthy subjects were studied. Nasal endoscopic examination, acoustic rhinometry (AR), and OR were performed and symptom scores compared. Main Outcome Measure: Assessment of nasal blockage with OR method was the main outcome measure. Results: Using the OR technique, significant differences were observed between the patient and control groups. OR data correlated with symptom scores and endoscopic examination. However, this was not observed with AR. A 15.5-dB cutoff point for the left side and 14.5 dB cutoff point for the right side at the 2,000 to 4,000 Hz frequency interval resulted in 93.8% sensitivity and 92.3% specificity and 72.9% sensitivity and 80.8% specificity, respectively. A 8.5-dB cutoff point for the left and right sides at the 4,000 to 6,000 Hz frequency interval resulted in 87.5% sensitivity and 80.8% specificity and 70.8% sensitivity and 78.8% specificity, respectively. Conclusion: OR is a simple, noninvasive test for assessing nasal obstruction. The OR technique can detect nasal obstruction with high sensitivity and specificity, and these findings correlate with symptoms and physical examination.
Zusammenfassung Das alveoläre Weichteilsarkom ist ein bösartiger Tumor, dessen Entstehungsursache... more Zusammenfassung Das alveoläre Weichteilsarkom ist ein bösartiger Tumor, dessen Entstehungsursache noch nicht geklärt ist. Die mikrohistopathologischen Untersuchungen zeigen ein alveoläres oder pseudoglanduläres Bild. Gleichzeitig sind PAS-positive, diastaseresistente intrazytoplasmatische Einschlüsse für diesen Tumor charakteristisch. Dieser Tumor befällt im Bereich von Kopf und Hals überwiegend die Zunge und Teile der Orbita. Die primäre Therapie dieses Tumors ist die totale Entfernung, die dann mit Radiotherapie oder Chemotherapie kombiniert werden kann. In der vorliegenden Studie handelt es sich um eine 17-jährige Patientin. Wir haben den Tumor total entfernt und anschließend mit Radiotherapie behandelt. Die postoperativen Untersuchungen über 3 Jahre ergaben keinerlei lokalen Herd oder Fernmetastasen.
Current measurements of nasal obstruction are unreliable and may be improved with the development... more Current measurements of nasal obstruction are unreliable and may be improved with the development of new techniques. The effectiveness of odiosoft-rhino (OR) in the evaluation of nasal obstruction was investigated in a blind comparison at a referral center, institutional practice. Patients: Fortyeight patients with perennial allergic rhinitis and 52 healthy subjects were studied. Nasal endoscopic examination, acoustic rhinometry (AR), and OR were performed and symptom scores compared. Main Outcome Measure: Assessment of nasal blockage with OR method was the main outcome measure. Results: Using the OR technique, significant differences were observed between the patient and control groups. OR data correlated with symptom scores and endoscopic examination. However, this was not observed with AR. A 15.5-dB cutoff point for the left side and 14.5 dB cutoff point for the right side at the 2,000 to 4,000 Hz frequency interval resulted in 93.8% sensitivity and 92.3% specificity and 72.9% sensitivity and 80.8% specificity, respectively. A 8.5-dB cutoff point for the left and right sides at the 4,000 to 6,000 Hz frequency interval resulted in 87.5% sensitivity and 80.8% specificity and 70.8% sensitivity and 78.8% specificity, respectively. Conclusion: OR is a simple, noninvasive test for assessing nasal obstruction. The OR technique can detect nasal obstruction with high sensitivity and specificity, and these findings correlate with symptoms and physical examination.
We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, t... more We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, the timing of the initiation of treatment, the type and severity of hearing loss, and age in 72 patients who had experienced sudden hearing loss. We found that the factors associated with a positive prognosis were the absence of vertigo, the presence of tinnitus, initiation of treatment within 7 days, a greater degree of hearing loss in the low frequencies, and a hearing loss of less than 45 dB. Age had no effect on prognosis.
We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, t... more We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, the timing of the initiation of treatment, the type and severity of hearing loss, and age in 72 patients who had experienced sudden hearing loss. We found that the factors associated with a positive prognosis were the absence of vertigo, the presence of tinnitus, initiation of treatment within 7 days, a greater degree of hearing loss in the low frequencies, and a hearing loss of less than 45 dB. Age had no effect on prognosis.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2006
Aneurysmal bone cyst is a benign lesion that is more commonly seen in long bones and the vertebra... more Aneurysmal bone cyst is a benign lesion that is more commonly seen in long bones and the vertebra. Its occurrence in the craniofacial region is rare. A nine-year-old boy presented with a well-demarcated, painless, fixed mass, 3 x 3 cm in size, in the left preauricular region, with no fluctuation or crepitation. Computed tomography showed a lesion in the left mandibular ramus with a fluid-fluid level, extending to the mandibular condyle, with erosion to the adjacent cortex. Total curettage was performed via a transoral approach under general anesthesia. Histopathologic diagnosis was made as an aneurysmal bone cyst. No recurrence or complication were seen during a follow-up period of four years.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2003
Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due ... more Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due to cerebral tumors or hydrocephalus; it is seldom seen in association with empty sella syndrome. A sixty-three-year-old woman who presented with left nasal discharge was hospitalized on the suspicion of CSF rhinorrhea. Analysis of the nasal fluid revealed a clear color, a positive Pandy's test, and a positive result for glucose (72%). On magnetic resonance scans, herniation of the suprasellar cistern was observed into the sellar cavity, and the left sphenoid sinus was filled with contrast medium. The repair of the fistula was performed via a transnasal and transsphenoidal approach. The patient was followed-up for five years without any symptoms or recurrences.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2003
Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due ... more Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due to cerebral tumors or hydrocephalus; it is seldom seen in association with empty sella syndrome. A sixty-three-year-old woman who presented with left nasal discharge was hospitalized on the suspicion of CSF rhinorrhea. Analysis of the nasal fluid revealed a clear color, a positive Pandy's test, and a positive result for glucose (72%). On magnetic resonance scans, herniation of the suprasellar cistern was observed into the sellar cavity, and the left sphenoid sinus was filled with contrast medium. The repair of the fistula was performed via a transnasal and transsphenoidal approach. The patient was followed-up for five years without any symptoms or recurrences.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
We evaluated the results of orbital decompression in patients with Graves' disease. Orbital d... more We evaluated the results of orbital decompression in patients with Graves' disease. Orbital decompression was performed by endoscopic transnasal medial wall approach and transantral inferior wall approach in 18 eyes of 12 patients (8 males, 4 females; mean age 41 years; range 24 to 65 years). The degree of exophthalmos was evaluated with the use of the Hertel exophthalmometer preoperatively, and postoperatively in the 24th hour, first and third months. At the end of the third month, exophthalmos decreased by a mean of 4.4 mm (range 3 to 7 mm). Visual acuity and field defects improved considerably in all patients. Complications occurred in three cases (25%) including diplopia, displacement of one eye inferiorly, and maxillary sinusitis caused by the encroachment of the adipose tissue upon the ostium, respectively. With the increasing ease of surgical procedures and enhanced experience on the part of surgeons, successful treatment of exophthalmos has become possible with decreased...
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
We evaluated the results of orbital decompression in patients with Graves' disease. Orbital d... more We evaluated the results of orbital decompression in patients with Graves' disease. Orbital decompression was performed by endoscopic transnasal medial wall approach and transantral inferior wall approach in 18 eyes of 12 patients (8 males, 4 females; mean age 41 years; range 24 to 65 years). The degree of exophthalmos was evaluated with the use of the Hertel exophthalmometer preoperatively, and postoperatively in the 24th hour, first and third months. At the end of the third month, exophthalmos decreased by a mean of 4.4 mm (range 3 to 7 mm). Visual acuity and field defects improved considerably in all patients. Complications occurred in three cases (25%) including diplopia, displacement of one eye inferiorly, and maxillary sinusitis caused by the encroachment of the adipose tissue upon the ostium, respectively. With the increasing ease of surgical procedures and enhanced experience on the part of surgeons, successful treatment of exophthalmos has become possible with decreased...
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
We evaluated the efficacy of hyperbaric oxygen (HBO) treatment in patients with sudden hearing lo... more We evaluated the efficacy of hyperbaric oxygen (HBO) treatment in patients with sudden hearing loss unresponsive to medical treatment. Fifty-one patients (37 males, 14 females; mean age 37 years; range 9 to 63 years) with sudden hearing loss were treated with HBO following unsuccessful medical treatment. Time elapsed from the occurrence of sudden hearing loss ranged between 15 to 45 days. Treatment included two sessions daily for the first three days, followed by a single daily session, to make 20 sessions of 90 minutes. Treatment was discontinued because of early recovery in two patients. Audiometric examinations were made at the end of every five sessions. The patients were classified according to age, gender, and audiogram curves. The mean hearing thresholds were 75.3 dB and 65.6 dB before and after treatment, respectively. Recovery was rated as complete in two patients (3.9%), moderate in two patients (3.9%), mild in 19 patients (37.25%), and as no recovery in 28 patients (54.9%...
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
We evaluated the efficacy of hyperbaric oxygen (HBO) treatment in patients with sudden hearing lo... more We evaluated the efficacy of hyperbaric oxygen (HBO) treatment in patients with sudden hearing loss unresponsive to medical treatment. Fifty-one patients (37 males, 14 females; mean age 37 years; range 9 to 63 years) with sudden hearing loss were treated with HBO following unsuccessful medical treatment. Time elapsed from the occurrence of sudden hearing loss ranged between 15 to 45 days. Treatment included two sessions daily for the first three days, followed by a single daily session, to make 20 sessions of 90 minutes. Treatment was discontinued because of early recovery in two patients. Audiometric examinations were made at the end of every five sessions. The patients were classified according to age, gender, and audiogram curves. The mean hearing thresholds were 75.3 dB and 65.6 dB before and after treatment, respectively. Recovery was rated as complete in two patients (3.9%), moderate in two patients (3.9%), mild in 19 patients (37.25%), and as no recovery in 28 patients (54.9%...
Syphilis is an unusual diagnosis in an ENT practice. We evaluated a 55-year-old man who had gener... more Syphilis is an unusual diagnosis in an ENT practice. We evaluated a 55-year-old man who had generalized plaques on his face, neck, and upper extremities. Analysis of skin biopsy and serology specimens revealed that the patient had secondary syphilis. He responded rapidly to treatment. The purpose of this article is to remind otolaryngologists of the signs and symptoms of syphilis so that it can be recognized and treated in a timely fashion.
Syphilis is an unusual diagnosis in an ENT practice. We evaluated a 55-year-old man who had gener... more Syphilis is an unusual diagnosis in an ENT practice. We evaluated a 55-year-old man who had generalized plaques on his face, neck, and upper extremities. Analysis of skin biopsy and serology specimens revealed that the patient had secondary syphilis. He responded rapidly to treatment. The purpose of this article is to remind otolaryngologists of the signs and symptoms of syphilis so that it can be recognized and treated in a timely fashion.
We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, t... more We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, the timing of the initiation of treatment, the type and severity of hearing loss, and age in 72 patients who had experienced sudden hearing loss. We found that the factors associated with a positive prognosis were the absence of vertigo, the presence of tinnitus, initiation of treatment within 7 days, a greater degree of hearing loss in the low frequencies, and a hearing loss of less than 45 dB. Age had no effect on prognosis.
We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, t... more We investigated the prognostic significance of the presence or absence of vertigo and tinnitus, the timing of the initiation of treatment, the type and severity of hearing loss, and age in 72 patients who had experienced sudden hearing loss. We found that the factors associated with a positive prognosis were the absence of vertigo, the presence of tinnitus, initiation of treatment within 7 days, a greater degree of hearing loss in the low frequencies, and a hearing loss of less than 45 dB. Age had no effect on prognosis.
Objective: Current measurements of nasal obstruction are unreliable and may be improved with the ... more Objective: Current measurements of nasal obstruction are unreliable and may be improved with the development of new techniques. The effectiveness of odiosoft-rhino (OR) in the evaluation of nasal obstruction was investigated in a blind comparison at a referral center, institutional practice. Patients: Fortyeight patients with perennial allergic rhinitis and 52 healthy subjects were studied. Nasal endoscopic examination, acoustic rhinometry (AR), and OR were performed and symptom scores compared. Main Outcome Measure: Assessment of nasal blockage with OR method was the main outcome measure. Results: Using the OR technique, significant differences were observed between the patient and control groups. OR data correlated with symptom scores and endoscopic examination. However, this was not observed with AR. A 15.5-dB cutoff point for the left side and 14.5 dB cutoff point for the right side at the 2,000 to 4,000 Hz frequency interval resulted in 93.8% sensitivity and 92.3% specificity and 72.9% sensitivity and 80.8% specificity, respectively. A 8.5-dB cutoff point for the left and right sides at the 4,000 to 6,000 Hz frequency interval resulted in 87.5% sensitivity and 80.8% specificity and 70.8% sensitivity and 78.8% specificity, respectively. Conclusion: OR is a simple, noninvasive test for assessing nasal obstruction. The OR technique can detect nasal obstruction with high sensitivity and specificity, and these findings correlate with symptoms and physical examination.
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